| Estado actual de manejo del dolor por cáncer |
Cancer pain management-current status
Thapa D, Rastogi V, Ahuja V.
J Anaesth Clin Pharmacol 2011;27:162-8
Cancer pain is still one of the most feared entities in cancer and about 75% of these patients require treatment with opioids for severe pain. The cancer pain relief is difficult to manage in patients with episodic or incidental pain, neuropathic pain, substance abuse and with impaired cognitive or communication skills. This non-systematic review article aims to discuss reasons for under treatment, tools of pain assessment, cancer pain and anxiety and possibly carve new approaches for cancer pain management in future. The current status of World Health Organization analgesic ladder has also been reviewed. A thorough literature search was carried out from 1998 to 2010 for current status in cancer pain management in MEDLINE, WHO guidelines and published literature and relevant articles have been included.
Keywords: Cancer pain, neuro-ablative procedures, opioids.
http://www.joacp.org/temp/JAnaesthClinPharmacol272162-6187934_171119.pdf |
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